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General NPI Number Information
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NPI Number | 1225921067
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Entity Type | Organization
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Legal Business Name | ACCESS WELLNESS & CONSULTING LLC
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 273 S WASHINGTON ST
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City | TIFFIN
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State | OH
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Zip | 44883-3052
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Country | US
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Telephone | 419-314-0231
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Fax | 419-540-4991
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Provider Business Mailing Address
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Address Line | 273 S WASHINGTON ST
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City | TIFFIN
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State | OH
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Zip | 44883-3052
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Country | US
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Telephone | 419-314-0231
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Fax | 419-540-4991
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MR. CHARLIE PALMER
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Credential | CNP
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Telephone | 567-230-1162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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